16D2291768 CLIA NUMBER - SUMMIT INDUSTRIAL MEDICINE

Laboratory Demographics

  • CLIA Code: 16D2291768
  • Facility Name: SUMMIT INDUSTRIAL MEDICINE
  • Facility Address: 1203 W BREMER AVE
    WAVERLY, IA
    ZIP 50677
  • Facility Phone: 319 559-2442
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JONATHON M. FIELDS

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CLIA Record

Field Name Field Value
CLIA Number 16D2291768
LAB Type Physician Office
Facility Name SUMMIT INDUSTRIAL MEDICINE
Street 1203 W BREMER AVE
City WAVERLY
State IA
ZIP 50677
Phone 319 559-2442
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2023
Certificate Expiration Date 10/15/2025
Facility Type Physician Office
Lab Director JONATHON M. FIELDS

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This page was last updated on: 6/4/2025